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<br />OWNER I S NAME ,I)t. A'-t?- R 'i A <br />JOB SITE ADDRESS '-190 'I <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMBNT 5335 8~ STRBET ZEPHYRHILLS, PL 33540 <br />PhoneI813-780-0020 Pax:813-780-0021 <br />DATE RRCEIVED '3 - t S - 0 :;L <br />PLANS REVIEW PER <br /> <br />DId JI t. <br />(~7,rAGC <br /> <br />PHONE <br /> <br />CONTACTe/3 'If] '1-87G 'I <br />J J S -<1/ " <br />tl.hAJ/'64 S /1/#/ <br /> <br />Br <br /> <br />Z rG,o/-I-itA HU,L..f J /L <br />" , <br /> <br />LEGAl. DESCRI PTION : LOT (S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 f# j /1 'J / J <br />, ~ '" ,~ ( , ~ 000 ()t!)D(~ <br />WORK PROPSED: DNEW CONSTRUCTION 0 ADDITION <br /> <br />o ALTERATION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br />ErP:EPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br />PROPOSED USE: ~L FAMILY DWELLING <br /> <br />o MOVE <br /> <br />D DEMOLISH <br /> <br />OMULTI - FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />c:J RESTAU~T & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK jl4?~()C1r /.b./:r,t:, Snu wc..-G fi~ y ~& hi t!3;{JJQ",16 <br />, r _ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE :e ~.:J . K <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ LIt.( 5,s-..CJ <( <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL $ <br />o GAS ~OOFING D SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />D FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLQOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br />SIGNATURE <br /> <br />~.~ <br /> <br />COMPANY "'fPP,tWc-/ BUT <br />STATE CERT OR REGIST f# <br />CITY PROCESSING # <br /> <br />t€~ ~~ <br />1 C;'1 t:J <br /> <br />BUILDEll <br /> <br />****************************************************************** <br /> <br />ELECTllICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUHBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING f# <br /> <br />" " <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST f# <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />